Integrative Treatment of Complex Trauma for Adolescents (ITCT-A)

Note: The ITCT-A program was not responsive to the CEBC's inquiry. The following information was obtained from publicly available sources.

Scientific Rating:
NR
Not able to be Rated
See scale of 1-5
Child Welfare System Relevance Level:
High
See descriptions of 3 levels

About This Program

Integrative Treatment of Complex Trauma for Adolescents (ITCT-A) has been reviewed by the CEBC in the area of: Trauma Treatment - Client-Level Interventions (Child & Adolescent), but lacks the necessary research evidence to be given a Scientific Rating.

Target Population: Adolescents who have experienced multiple traumas

Brief Description

ITCT-A is a multicomponent therapy for multitraumatized adolescents. It involves semistructured protocols, downloadable treatment tools (e.g., The Trigger Grid, Written Homework About My Trauma), and interventions that are customized to the specific issues, social context, and capacities of each client. An important aspect of ITCT-A is its continuous monitoring of treatment effects over time, using the Assessment-Treatment Flowchart (ATF-A). This involves initial and periodic psychometric and interview-based evaluation of the adolescent's symptomatology in a number of different areas, as well as assessment of their socioeconomic status, culture, ongoing level of support systems and coping skills, family and caretaker relationships, attachment issues, and functional self-capacities. The client's social and physical environment is considered as well for evidence of new stressors, changes in family financial and housing status, potential danger from revictimization, and exposure to community violence. After assessment with the ATF-A, the Problems-to-Components Grid (PCG) is used to suggest relevant ITCT-A treatment components, including affect regulation training, titrated exposure, cognitive processing, psychoeducation, relationship building and support, trigger management, identity development, and social advocacy. ITCT-A especially focuses on social and cultural issues, and has been used in a variety of inner city and socially marginalized contexts, and with a range of cultural and sexual minority youth, as well as unaccompanied minors from Mexico and southward and those exploited by the sex industry. Attention is paid to the use of culturally appropriate treatment resources, and the focus and context of treatment is adapted to the adolescent's sociocultural environment. Also taken into account are cultural phenomena that can assist the client's progress in therapy, including, for some, use of the extended family as a physical, psychological, and social support system.

Education and Training Resources

Publicly available information indicates there is a manual that describes how to implement this program, and there is some training available for this program.
See contact info below.

Relevant Published, Peer-Reviewed Research

This program has been reviewed and it was determined that this program lacks the type of published, peer-reviewed research that meets the CEBC criteria for a scientific rating of 1 – 5. Therefore, the program has been given the classification of "NR - Not able to be Rated." It was reviewed because it was identified by the topic expert as a program being used in the field, or it is being marketed and/or used in California with children receiving services from child welfare or related systems and their parents/caregivers. Some programs that are not rated may have published, peer-reviewed research that does not meet the above stated criteria or may have eligible studies that have not yet been published in the peer-reviewed literature. For more information on the "NR - Not able to be Rated" classification, please see the Scientific Rating Scale.

Child Welfare Outcomes: Not Specified

Lanktree, C. B., Briere, J., Godbout, N., Hodges, M., Chen, K., Trimm, L., … Freed, W. (2012). Treating multitraumatized, socially marginalized children: Results of a naturalistic treatment outcome study. Journal of Aggression, Maltreatment & Trauma, 21, 813-828.

Type of Study: One-group pretest-posttest study
Number of Participants: 151

Population:

  • Age — Children: 8-17 years (Mean=11.43 years); Adults: Not specified
  • Race/Ethnicity — Children: 48% Hispanic, 25% Black or African American, 14% Non-Hispanic White, and 13% Asian or other; Adults: Not specified
  • Gender — Children: 65% Female and 35% Male, Adults: Not specified
  • Status — Participants were clients at a specialized child trauma center.

Location/Institution: Long Beach, California

Summary: (To include comparison groups, outcomes, measures, notable limitations)
This article examines the potential effectiveness of Integrative Treatment of Complex Trauma (ITCT) [now called Integrative Treatment of Complex Trauma for Adolescents (ITCT-A)] in assisting 151 traumatized children living in an economically deprived environment. Measures utilized include the Trauma Symptom Checklist for Children (TSCC). Results indicated exposure to this treatment was associated with reductions in anxiety, depression, posttraumatic stress, and, to a slightly lesser extent, anger, dissociation, and sexual issues. Additionally, the longer a child was in therapy, the greater his or her symptomatic improvement. Limitations include nonrandomization of participants, lack of control group, and lack of follow-up.

Length of postintervention follow-up: None.

References

No reference materials are currently available for Integrative Treatment of Complex Trauma for Adolescents (ITCT-A).

Contact Information

Name: John Briere, PhD
Website: johnbriere.com
Email:

Date Research Evidence Last Reviewed by CEBC: July 2016

Date Program Originally Loaded onto CEBC: August 2016